2 English reference heat sore [Chinese medicine terminology Committee. Terminology of traditional Chinese medicine (20 13)]
Herpes simplex [Chinese medicine terminology examination Committee]. Terminology of traditional Chinese medicine (20 13)]
3. To sum up, burning blister is the name of disease [1]. It is the common name of northern heat sore, mainly herpes [1][2].
Heat sore (heat sore; Herpes simplex is the name of this disease [2]. The fifth volume of Liu's Ghost Legacy was published. Also known as heat sore, common name Liao blister [2]. It refers to a skin disease characterized by cluster blisters, erosion, scabbing, itching and pain at the junction of skin and mucosa when fever or high fever occurs [3]. It is a herpetic dermatosis [2]. Most of them recover after 1 week, but they are easy to relapse. Men, women and children can get sick, especially adults.
"Total Record of Shengji": "Heat sore originates from heat, and the atmosphere takes advantage of deficiency, so it is called heat sore."
Heat sore is equivalent to herpes simplex in western medicine [3].
4 The etiology and pathogenesis of burning blister is exogenous wind-heat or heat accumulating in lung and stomach [2].
Blisters are mostly caused by exogenous wind and heat, which is caused by skin sweat. Or because the liver and gallbladder are damp and hot, it is blocked by * * * *; It may also be caused by recurrent attacks, pathogenic heat hurting body fluids, yin deficiency and internal heat. Fever, cold, sun exposure, menstrual cramps, pregnancy, gastrointestinal dysfunction, etc. often induce this disease.
5 Symptoms of blisters Blisters easily occur around the upper lip, mouth and nostrils, and can also occur on the face [2]. There are dense clusters of small blisters on the affected skin, which are shaped like millet or adzuki bean. Blister fluid is clear, gradually turbid, itchy and burning, which subsides about 1 week, and often recurs after healing [2].
6 diagnosis of blisters blisters can be seen in any part of the body, but most of them occur at the junction of skin and mucosa, such as mouth, lips, nostrils and external genitalia. If it occurs in the mouth, pharynx and conjunctiva, it is called mucosal heat sore; It occurs in the external genitalia and is called * * * hot sore. Skin lesions were erythema at first, and then several or dozens of clustered hillock herpes or hyaline serous blisters appeared on the basis of erythema. After a few days, the blisters burst and eroded, slightly oozing out, and gradually dried, forming a yellowish or brown scab. After 1-2 weeks, the scab skin fell off and healed, but it was easy to relapse.
Before the onset, some areas have burning itching and tension, and in severe cases, there may be systemic symptoms such as fever and discomfort. Hair in the external genitalia can cause frequent urination, dysuria and other symptoms; Hair in the mouth, lips or oral mucosa can cause swelling and pain in the submandibular or cervical nucleus; It is easy to cause premature delivery, abortion and neonatal hot sore when it happens to pregnant women.
7 diseases that need to be differentiated from Liao blister 7. 1 herpes zoster lesions are distributed in bands along the peripheral nerve direction, not exceeding the midline; It is a cluster of blisters, and the skin between blisters is normal, with obvious tingling.
7.2 Huang Shui Chuang Huang Shui Chuang is easy to occur in exposed parts of children's faces, limbs and so on, mostly in summer and autumn. The skin lesions are mainly pustules and pus scabs, which are scattered and itchy.
8 The treatment of meteor blisters should clear away heat and detoxify [2]. Huanglian Jiedu Decoction is taken orally, and Huanglian ointment or Huangjin ointment is used externally [2].
8. 1 Syndrome Differentiation and Treatment 8. 1. 1 Heat sore of lung and stomach refers to heat of lung and stomach, blisters on lips and cheeks, burning itching, accompanied by fever, dry stool, yellow urine, red tongue and yellow tongue coating.
8. 1. 1. 1 The symptoms are mostly on the face, especially on the mouth, lips and nose. The lesions are clustered small blisters, burning and itching; Accompanied by mild general malaise, upset and depression, stool and yellow urine; Red tongue, yellow fur and thready pulse.
8. 1.65438+ When the lung and stomach are full of heat and the body fluid is abnormally dispersed, blisters will appear on the skin; Wind-heat and toxic pathogens accumulate to evaporate the skin, so it is hot; The wind itches; Mild general malaise, upset and depressed, dry stool, yellow urine, red tongue, yellow fur and rapid pulse are all manifestations of lung and stomach heat.
8. 1. 1.3 Treatment of expelling wind, clearing heat and detoxicating.
8. 1. 1.4 Prescription of Xinyi Qingfei Decoction.
8. 1.2 Exogenous wind-heat type heat sores refer to wind-heat type heat sores, which mostly occur in the lips and cheeks, with self-conscious burning and itching, mild discomfort all over the body, red tongue and thin tongue coating as common symptoms [3].
8. 1.3 Damp-heat in the liver and gallbladder 8. 1.3. 1 Symptoms Herpes occurs in * * *, which is easy to break and erode, with obvious pain; There is fever, and it is convenient to urinate in Huang Chi; Red tongue, yellow greasy fur and slippery pulse.
8. 1.3.2 Dialectical analysis shows that the liver meridian of Foot Jueyin circulates around the abdomen and vulva, and when the damp-heat of the liver and gallbladder descends, local herpes occurs; Damp-heat accumulation, hot skin rot, easy to fester and erosion; Dampness and heat block meridians, and it hurts if it doesn't work; Overheating leads to fever; Red tongue, yellow greasy fur and slippery pulse are all manifestations of damp-heat.
8. 1.3.3 Method of clearing heat, promoting diuresis and detoxicating.
8. 1.3.4 Prescription of Longdan Xiegan Decoction. For those with dry stools, increase jaundice to relieve constipation.
8. 1.4 Heat sore due to yin deficiency and internal heat refers to heat sore with intermittent blisters, dry lips, red tongue, thin tongue coating and thin pulse.
8. 1.4. 1 symptom recurrence; Dry mouth and lips, slight fever in the afternoon; The tongue is red, the coating is thin, and the pulse is thin.
8. 1.4.2 Dialectical analysis shows that heat and toxin lasting for a long time will cause internal heat due to yin deficiency, and yin deficiency will lead to yin-yang imbalance, so it is easy to cause disease. Dry lips, slight fever in the afternoon, red tongue, thin coating and rapid pulse are all manifestations of yin deficiency and internal heat.
8. 1.4.3 treatment: nourishing yin, clearing away heat and toxic materials.
8. 1.4.4 Radix Isatidis, Radix Arnebiae, and Semen Coicis were added to the prescription of the decoction for treating fluid increase.
8.2 External treatment: clearing away heat and toxic materials, eliminating dampness and converging.
The lesions are mainly papules and herpes, and those with erosion and exudation are mainly purslane lotion or wet compress;
The skin lesions are mainly erosive and scabbed, or when they heal, Zijing ingot is ground with water, or indigo naturalis ointment and Huanglian ointment are applied externally.
9. Daily health care for patients with herpes zoster. For repeated authors, the inducing factors should be removed.
2. Keep local clean, promote dry scabbing and prevent poisoning.
3. Diet should be light, avoid spicy and greasy.
4. put an end to impurity.
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